| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,881 |
19,358 |
$528K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
132 |
132 |
$388K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,079 |
1,973 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,943 |
1,820 |
$145K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,086 |
1,071 |
$125K |
| 76830 |
Ultrasound, transvaginal |
885 |
871 |
$86K |
| 76801 |
|
762 |
731 |
$75K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
616 |
605 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
489 |
481 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
320 |
319 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
382 |
354 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
181 |
176 |
$11K |
| 99215 |
Prolong outpt/office vis |
76 |
75 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
83 |
80 |
$7K |
| 81025 |
|
912 |
875 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
51 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
358 |
348 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
18 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
401 |
383 |
$1K |
| 59025 |
Fetal non-stress test |
19 |
12 |
$810.13 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$564.34 |
| 81002 |
|
191 |
186 |
$353.85 |
| 96160 |
|
56 |
56 |
$145.62 |